Laurie M Dwyer, PHARMACIST
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Latta, SC
NPI 1962009928 · NPPES record last updated Oct 2, 2020
Key facts
- NPI
- 1962009928
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 7101 (SC)
- Practice address
- 106 E Main St
Latta, SC 29565-1617 - Phone
- (843) 752-0023
- Fax
- (843) 752-0079
- NPI assigned
- Oct 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7101 | SC | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Latta Drug Company, Inc. | Past |
Accepting new patients | |
| Latta Drug Company, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
1835P0018X | 7101 | SC | Yes |
Addresses
Primary practice location
106 E Main St
Latta, SC 29565-1617
Mailing address
106 E Main St
Latta, SC 29565-1617
Phone (843) 752-0023
Other providers in Latta, SC
- Cox Speech-Language Pathology, Inc.
- D H L Transport LLC
- Dillon County School District Three
- Angela Drawhiorn
- Clarissa M Drawhorn
- James Bernard Fleming
- Denise Marie Gallant
- Arica Skylar Gandy
- Gentle Path Solutions LLC
- Carmilla Griffin
All providers in Latta, SC · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.